Individual
SHALA GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
G3500 FLUSHING RD STE 244, FLINT, MI 48504-4235
(810) 820-7390
Mailing address
G3500 FLUSHING RD STE 244, FLINT, MI 48504-4235
(810) 820-7390
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
MI000016572
MI
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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